| Fchc Prunedale Medical Clinic | |
|
17637 Vierra Canyon Rd Prunedale CA 93907-3314 | |
| (408) 729-4290 | |
| (866) 931-7822 |
| Full Name | Fchc Prunedale Medical Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 17637 Vierra Canyon Rd, Prunedale, California |
| Authorized Official Name and Position | Salvador Chavarin (CEO) |
| Authorized Official Contact | 4087294290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fchc Prunedale Medical Clinic 2670 S White Rd Ste 200 San Jose CA 95148-2073 Ph: (408) 729-4290 | Fchc Prunedale Medical Clinic 17637 Vierra Canyon Rd Prunedale CA 93907-3314 Ph: (408) 729-4290 |
| NPI Number | 1588165385 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588165385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 3 days ago
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